NPIMap

Individual provider Active NPI

Stephen J Matthews, MD

  • Diagnostic Radiology Physician
  • Lafayette, IN
National Provider Identifier
1720198518
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01040685A Issued in IN
Practice address
1411 S Creasy LN
Suite 130
Lafayette, IN 47905-7438
Phone
(765) 447-7447
Fax
(765) 447-1767
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01040685A IN Primary

Addresses

Primary practice location

1411 S Creasy LN
Suite 130
Lafayette, IN 47905-7438

Mailing address

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455
Phone (330) 655-1869

Other identifiers 2

IdentifierTypeStateIssuer
100363100MedicaidIN
000000360303OtherINANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000573 IN Practitioner - Diagnostic Radiology 9931154259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Memphis Hospital Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology Physicians LLCGroup PAC ID 3971863416, 56 clinicians

Practice addresses (Care Compare)

2326 18TH St
Columbus, IN 47201-5359
Phone (812) 376-5064

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Radiology Associates Inc Diagnostic Radiology PastSince Jul 1, 2011 Accepting new patients
Radiology Associates Inc Diagnostic Radiology PastSince Apr 3, 2022 Accepting new patients
Opensided MRI of Louisville, LLC Past Accepting new patients
Nufinity, LLC Diagnostic Radiology Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1720198518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S CREASY LN",
            "address_2": "SUITE 130",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057438",
            "telephone_number": "765-447-7447",
            "fax_number": "765-447-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01040685A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100363100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000360303",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.